Medical Review Nurse - CMS/RAC Auditor, Government Audits
Machinify · Other
Source: machinifyinc
Limited to: United States — no hybrid days in this listing.
This role’s source listing does not include Hungary as an eligible location.
Machinify is hiring a remote US-based Medical Review Nurse to perform claims audits for government clients.
In this role, you will conduct retrospective and prepayment medical claims reviews while applying clinical guidelines and regulatory policies. The position requires strong expertise in coding and clinical decision-making, working collaboratively with a cross-functional team to improve audit outcomes and healthcare payment integrity.
Why You’ll Love This Role
What You’ll Bring
What You’ll Get
About the Company
Machinify is a healthcare intelligence company that utilizes an AI-powered platform to maximize financial efficiency for health plans. They support over 85 health plans across the US, focusing on optimizing the payment continuum.